Hypertrophic scar treatment involves a combination of medical and therapeutic approaches tailored to reduce the appearance and symptoms of thickened, raised scars resulting from excessive collagen production during the wound healing process. One of the primary treatments is the application of silicone gel sheets or silicone ointment, which are typically applied to the scar for extended periods. Silicone therapy works by hydrating the scar tissue, reducing collagen production, and ultimately flattening and softening the scar. This method is often first-line due to its non-invasive nature and minimal side effects. Additionally, pressure garments or dressings may be prescribed to apply consistent pressure to the scar, which can help to flatten raised tissue and improve its appearance over time.

For more persistent or severe hypertrophic scars, additional interventions such as intralesional corticosteroid injections may be considered. These injections involve administering steroids directly into the scar tissue, which helps to reduce inflammation and collagen production, thus leading to the gradual softening and flattening of the scar. In some cases, laser therapy may be utilized to resurface the skin, promote remodeling of the scar tissue, and reduce redness. Alternatively, cryotherapy can be used to freeze and reduce the size of the scar tissue. Surgical options, though generally a last resort, can be employed to excise the scar, followed by meticulous wound care to prevent recurrence. A comprehensive treatment plan often involves a combination of these therapies, tailored to the specifics of the patient's scar and individual healing dynamics.